Provider Demographics
NPI:1043828916
Name:IQBAL, BUSHRA (FNP-DNP)
Entity Type:Individual
Prefix:MRS
First Name:BUSHRA
Middle Name:
Last Name:IQBAL
Suffix:
Gender:F
Credentials:FNP-DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:464 CHARDONNAY DR # A
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-7776
Mailing Address - Country:US
Mailing Address - Phone:408-685-8637
Mailing Address - Fax:
Practice Address - Street 1:464 CHARDONNAY DR # A
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-7776
Practice Address - Country:US
Practice Address - Phone:408-685-8637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95176871163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine